JANICE K. WAGNER


Address: 147 Milk St, Boston, MA 02109-4806
Phone: 6176547300

JANICE K. WAGNER (NPI# 1497779466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497779466
Entity Type Individual
Full Name JANICE K. WAGNER
Credential LICSW
Practice Address 147 Milk St
Boston
MA 02109-4806
Mailing Address 147 Milk St
Provider Enrollment 9th Floor
Boston
MA 02109-4806
Practice Telephone 6176547300
Mailing Telephone 6175598051
Enumeration Date 2006-07-26
Last Update Date 2009-04-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041C0700X Social Worker
Specialization: Clinical
105968 MA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MA TUFTS HEALTH PLAN 669489 01
MA NEIGHBORHOOD HEALTH PLAN 0014259 01
MA BLUE CROSS P06820 01

Other Providers JANICE WAGNER

NPI Name Taxonomy Address Enumeration
1295106672 Janice Wagner Occupational Therapy Assistant 3703 W Lake Ave, Suite 200, Glenview, IL 60026-1223 2015-10-12
1801167994 Janice Wagner Occupational Therapist 26520 Center Ridge Rd, Westlake, OH 44145-4033 2012-01-20
1205916350 Janice K. Wagner Nurse Practitioner 500 N 5th St, Hot Springs, SD 57747-1480 2006-10-16

Office Location

Street Address 147 MILK ST
City BOSTON
State MA
Zip Code 02109-4806

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740280288 James Franklin Wharam Internal Medicine 147 Milk St, Boston, MA 02109-4806 2005-07-27
1720596992 Elizabeth Chase Balaconis Nurse Practitioner 147 Milk St, Boston, MA 02109-4806 2018-01-22
1316455918 Caroline Hunter Ogilvy Social Worker 147 Milk St, Boston, MA 02109-4806 2018-01-17
1720455934 Christine S Wood Nurse Practitioner 147 Milk St, Internal Medicine, Boston, MA 02109-4806 2015-08-24
1801299086 Kate Murphy Advanced Practice Midwife 147 Milk St, Ob/gyn, 3rd Floor, Boston, MA 02109-4806 2014-10-02
1568861243 Husne Turkcan Internal Medicine 147 Milk St, Boston, MA 02109-4806 2014-08-18
1245664564 Danielle Dupre Nurse Practitioner 147 Milk St, 9th Floor, Boston, MA 02109-4806 2013-08-22
1730422593 John Alexander Zambrano Internal Medicine 147 Milk St, Boston, MA 02109-4806 2013-03-30
1285984542 Kathryn Gantman Nurse Practitioner 147 Milk St, Boston, MA 02109-4806 2012-09-14
1720337207 Karen Segal Bikofsky Nurse Practitioner 147 Milk St, 5th Floor, Boston, MA 02109-4806 2012-08-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477167385 Hidden Gems Counseling LLC Clinic/Center 6 Liberty Sq, Pmb 452, Boston, MA 02109 2020-09-08
1710596697 Boston Center for Health Psychology and Biofeedback, LLC Psychologist 10 Post Office Sq., Ste 800 South, Boston, MA 02109 2020-07-27
1568925311 Robyn Kievit LLC Dietitian, Registered 112 Water Street Suite 203, Boston, MA 02109 2019-04-09
1023503786 Merissa Wright Behavior Technician 8 Faneuil Hall Marketplace, 3rd Floor, Boston, MA 02109 2018-06-26
1366961310 Christine Anna Corallino Nurse Practitioner 14 Foster Street, #3, Boston, MA 02109 2017-09-11
1609322858 Katelyn Patricia Cloutier Physical Therapist 4 Water Street, Boston, MA 02109 2016-08-28
1033546700 Haidang Truong Kelly Nurse Practitioner 147 Milk St Fl 3, Boston, MA 02109 2013-09-26
1467701821 One Medical Group, PC Internal Medicine 28 State Street, Suite 2850, Boston, MA 02109 2012-08-31
1326218397 Monica E. Zuniga Counselor 112 Water St Ste 203, Boston, MA 02109 2008-03-06
1124215298 Martin B Silverstein Internal Medicine 53 State Street, Boston Consulting Group Exchange Place, Boston, MA 02109 2007-10-02
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Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1346854635 Linda Arian Social Worker 38 Fairfield St Apt 6, Boston, MA 02116-2537 2020-09-03
1376152306 Sasha Brown Social Worker 21 Tileston St Apt 1, Boston, MA 02113-1965 2020-07-27
1639787898 Catherine Delano Social Worker 20 Cumberland St, Boston, MA 02115-5306 2020-07-14
1093332462 Lauren Bachman-streitfield Social Worker 32 Fruit St Ste 4b, Boston, MA 02114-2620 2020-07-01
1992322606 Melissa Ann Stadler Social Worker 9247 S Hill Rd, Boston, NY 14025-9788 2020-06-29
1942827662 Kaitlin Silkowitz Social Worker 271 Dartmouth St Apt 4i, Boston, MA 02116-2828 2020-06-29
1154942233 Raiza Alyssa Felicitas Social Worker 250 Rutherford Ave, Boston, MA 02129-2925 2020-04-30
1396372561 Sarah Coburn Social Worker 185 Pilgrim Rd # Baker217, Boston, MA 02215-5324 2020-03-26
1235764887 Stephen Santos Social Worker 12 Chesterton St, Boston, MA 02119-2906 2020-03-04
1285265025 Hui Wang Social Worker 185 Pilgrim Rd # Baker218, Boston, MA 02215-5324 2020-01-30
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Competitor

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City BOSTON
Zip Code 02109

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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